Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Ellis, LCSW-C

Individual provider Clinical Social Worker · NPI 1215017009

Mr. Charles Ellis, LCSW-C is a Clinical Social Worker in Riverside, California. Qualified in 1993, 33 years ago. Practices with Silver State Health Care Services LLC, a 5-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Maryland and Nevada.

Years since qualifying
33
Licensed in
CA, MD, NV
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

4164 Brockton Ave
Riverside, CA 92501-3400
Phone: (951) 683-5193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1501 Division St, Baltimore, MD 21217-3121 — (410) 383-8300
  • 2725 S Jones Blvd Ste 101, Las Vegas, NV 89146-5605 — (725) 214-1378

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 19143 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5980-C (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26960 (MD)

Record details

NPI number1215017009
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESOctober 9, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Silver State Health Care Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverside